Individual
JANNA LEIGH HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3104 NE 12TH ST, BENTONVILLE, AR 72712-3717
(479) 696-8819
(501) 542-4171
Mailing address
3104 NE 12TH ST, BENTONVILLE, AR 72712-3717
(479) 544-2734
(855) 975-2995
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1837
AR
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152411721
—
AR
Enumeration date
04/27/2006
Last updated
12/02/2021
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